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Final Transparency Rule Adds to Health Plans’ Disclosure Requirements
HR Daily Advisor Link to more items from this source
Nov. 18, 2020

"[T]hese cost estimates will at first be required for only 500 of the most shoppable items and services, which are listed in the final rule. For the remainder, plans will have until January 1, 2024. This disclosure must include ... [1] Estimated cost-sharing liability; [2] Accumulated amounts; [3] Negotiated rates, expressed as dollar amounts ... [4] Out-of-network allowed amounts; [5] A list of items and services included in any bundled payment arrangement; [6] A notice of prerequisites (such as prior authorization), if applicable; and [7] A disclosure notice."

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